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Maryland rates for HCPCS J1245

Injection, dipyridamole, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $8.41 / $8.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.86 / $8.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $10.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $8.41 / $8.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $3.87 / $3.87